License holder summary

NICOLE M QUEZADA is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for NICOLE M QUEZADA is WELLSBORO PA 16901. This licensed professional license is current. The license was granted 02/07/2002 and expired on 03/31/2017.

Pennsylvania

Department of State

NICOLE M QUEZADA
Dentistry - Anesthesia Permit - Restricted II
License number
DN000542
Date granted
02/07/2002
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
WELLSBORO PA 16901
palicensing.org
ID 16536839
LAST UPDATED 2024-04-26 14:55:46 UTC

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